A Sigmoid Loop Tumor Revealing a Strangulated Inguinoscrotal Hernia Containing the Right Colon: Case Report and Literature Review

¹ BACHAR AMINE, ²MOUNTASSIR MAROUANE, ³MOURAFI LAMIAA, ⁴ESSAIDI ZAKARIA, ⁵EL ABBASSI TAOUFIK, ⁶BENSARDI FATIMZAHRA

^1,2,3,4,5,6Department of General Surgery, University Hospital IBN ROCHD, Casablanca, Morocco

DOI: 10.58806/ijhmr.2025.v4i3n02

ABSTRACT:

Inguinal hernia is a common condition in digestive surgery, predominantly affecting male patients. The main complication is strangulation. However, the presence of the right colon in the hernia sac is an exceptional clinical presentation. Several etiological factors have been suggested. We report the case of a 72-year-old man being monitored for a sigmoid loop tumor who presented with a strangulated right inguinoscrotal hernia containing the right colon.

KEYWORDS :

hernia, obstruction, right colon, omentum, emergency, surgery.

REFERENCES :

1) International guidelines for groin hernia management. Hernia.2018;22:1–165.
2) Fitzgibbons RJ, Forse RA. Groin Hernias in Adults. N Engl J Med.2015;372(8):756-63.
3) El Anzaoui J, El Harrech Y, Abbaka N, Touiti D, Lahkim M, Fihri JF, et al. Hernie inguinale ou vésicale ? Can Urol Assoc J. 2013;7(11-12): E837-9.
4) Bali C, Tsironis A, Zikos N, Mouselimi M, Katsamakis N. An unusual case of a strangulated right inguinal hernia containing the sigmoid colon. Int J Surg Case Rep. 2011;2(4):53-5.
5) Stoppa R, Warlaumont C, Verhaeghe P. How does inguinal herniadevelop? LaRevuedupraticien.1987;37(45):2737.
6) Verhaeghe P, Rohr S. Chirurgie des hernies inguinales de l’adulte. Arnetteedit, Paris.2020
7) Contartesi JC. Strangulation of the transverse colon in inguinalhernia. SemMedica.1956;108(3):93-5.
8) GieselmanRV,CollodiGA,ParkhillUA.Transversecolonin a right inguinal hernia with a confusing distortion of the stomach.Gastroenterology.1956;30(4):690-3.
9) Raahave D. Dolichocolon revisited: An inborn anatomic variant with redundancies causing constipation and volvulus. WorldJGastrointestSurg.2018;10(2):6.
10) Drs A, Horák P, Chlupáč J, Froněk J. The most recent recommendations for the surgical treatment of inguinal hernia. Rozhl V Chir Mesicnik Ceskoslovenske Chir Spolecnosti.2019;98(7): 268-72.
11) Konate I. Primary unilateral uncomplicated inguinal hernia repair, which is the procedure most frequently, performedinoperatingtheatrestheworldover?Situationof Africa.Hernia.2019;23(3):623–624.
12) BSine,ANdong,ASarr,ACDiallo,MFaye,NABagayogo,et al. Prise en charge des hernies inguinales dans un service d’urologie d’Afrique subsaharienne : à propos de 205 cas. J ChirAfrDigest.2019;174(84):9.
13) Romain B, Chemaly R, Meyer N, Brigand C, Steinmetz JP, Rohr S. Prognostic factors of postoperative morbidity and mortality in strangulated groin hernia. Hernia. 2012;16(4):405–410.
14) Alvarez JA, Baldonedo RF, Bear IG, Solís J a. S, Alvarez P, Jorge JI. Incarcerated groin hernias in adults: presentation and outcome. Hernia J Hernias Abdom Wall Surg. 2004;8(2):121-6.
15) KonatéI,CisséM,TWadeP,TendengJ,SineB,DiengM,et al. Prise en charge des hernies inguinales à la clinique chirurgicale de l’Hôpital Aristide Le Dantec de Dakar : étude rétrospective à propos de 432 cas. J Chir Afr Digest. 2010 ;342(79) :2.
16) De Muynck A. Facteurs de risque des hernies inguinales étranglées : Etudede243casàKasongoZAIRE.AnnSocBelge MedTrop.1979 ;59(2) :185–198.
17) DiengM,ElKouziB,KaO,KonatéI,CisséM,SanouA,etal. Lesherniesétrangléesdel’aine del’adulte: unesériede 228 observations.MaliMéd.2008;23(1).